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患者,45岁,已婚。因下腹部肿物6年,近2个月迅速增大就诊。数年前超声曾诊断为子宫肌瘤。妇科检查:子宫前倾,约孕20周大小,子宫前壁偏右侧可触及一12cm×9cm×8cm大小的肿物,质硬,表面光滑,无压痛。双侧附件未扪及。超声检查:子宫前倾,增大,于前壁偏右侧可探及一为15cm×16cm×12cm的囊实性包块,其轮廓欠清,与子宫无明显分界。包块中央呈元回声,其内尚可见强回声分隔带,囊腔内壁欠规整,周边以实质回声为主,且厚薄不一,最
Patient, 45 years old, married. Due to lower abdominal tumor for 6 years, nearly 2 months to rapidly increase treatment. Ultrasound was diagnosed several years ago as uterine fibroids. Gynecological examination: anteversion of the uterus, about 20 weeks pregnant size, right side of the uterus anterior wall can reach a size of 12cm × 9cm × 8cm mass, hard, smooth surface, no tenderness. Bilateral attachment not palpable. Ultrasonography: uterine anteversion, increased, to the right side of the anterior wall can be explored and a 15cm × 16cm × 12cm cystic solid mass, the outline of the clear, no significant boundaries with the uterus. Central mass was echo, which can still be seen with strong echo separation, cystic cavity wall irregularities, the main echo-based peripherals, and the thickness varies, the most